Individual provider · Type 1 NPI
Kimberly Fuller, MSN, ACNP - BS
Acute Care Nurse Practitioner · Vicksburg, MS
NPI number
1083860324
Active
Practice location
2100 Highway 61 N
Vicksburg, MS 39183-8211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R853474 (MS) |
| Emergency Medicine Physician | 207P00000X | R853474 (MS) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1083860324
Kimberly Fuller, MSN, ACNP - BS's National Provider Identifier is 1083860324, issued on Aug 18, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Vicksburg, MS. The record was last updated on Mar 16, 2009.